• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Cataract Extraction + Synechiolysis + ECP

SuzyRoberts44

Contributor
Messages
13
Best answers
0
I have a surgeon who performed a combined procedure of Cataract extraction, endoscopic photocoagulation (ECP) and goniosynechiolysis. Synechiolysis is bundled into both of the other two codes. The provider feels that all three codes should be billed. Her reasoning is that all three procedures were done for different purposes. The synechiolysis was not done to aid the extraction of the cataract, and it was not done to lower pressure like the ECP, but was done to open the angle. I am unable to find any other information about whether or not this would be allowable.

Can anyone give some advice on this?

Provider requested Codes: 66984, 66711, 65865-59
 

mzkandyd

Guru
Messages
145
Location
Mesa, AZ
Best answers
0
The 65865 bundles into the cataract (669840) per the CCI guidelines. I would need to see the op note to identify if there is a documentation to bypass the edit with a 59 or not. But for now......

I would just code 66984 (RT or LT) and then 66711.51 (RT or LT).
Feel free to email me offline:mzkandyd@gmail.com
 
Top